Organization
SPECIAL NEEDS SERVICES OF RAY COUNTY
Active
Other names
Billy Gaines as Fiscal Agent
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZAN LORRAINE BREEN (EXECUTIVE DIRECTOR)
(816) 470-5045
Entity
Organization
Contact information
Practice address
810 E MAIN STREET, RICHMOND, MO 64085
(816) 470-5045
(816) 470-8066
Mailing address
810 E MAIN STREET, RICHMOND, MO 64085
(816) 470-5045
(816) 470-8066
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
02/21/2019
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